NPIMap

Organization Active NPI

Kirk E Houston DMD PA

Doing business as Family Dental Care

  • Dentist
  • Lyman, SC
National Provider Identifier
1194828657
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
DentistTaxonomy code 122300000X
License
03598 Issued in SC
Legal business name
KIRK E HOUSTON DMD PA
Doing business as
Family Dental Care
Practice address
12313 Greenville Highway
Lyman, SC 29365
Phone
(864) 439-3322
Fax
(864) 949-3953
NPI assigned
Sep 7, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Kirk Edward Houston, DMDNPI 1831376029
Title
Ceo
Phone
(864) 439-3322

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dentist 122300000X 03598 SC Primary

Addresses

Primary practice location

12313 Greenville Highway
Lyman, SC 29365

Mailing address

12313 Greenville Highway
Lyman, SC 29365
Phone (864) 439-3322

Other identifiers 1

IdentifierTypeStateIssuer
ZA9592MedicaidSC

Other names 1

  • Family Dental Care Doing business as

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1157587200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1194828657",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12313 GREENVILLE HIGHWAY",
            "city": "LYMAN",
            "state": "SC",
            "postal_code": "29365",
            "telephone_number": "864-439-3322",
            "fax_number": "864-949-3953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12313 GREENVILLE HIGHWAY",
            "city": "LYMAN",
            "state": "SC",
            "postal_code": "29365",
            "telephone_number": "864-439-3322",
            "fax_number": "864-949-3953"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRK E HOUSTON DMD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-07",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HOUSTON",
        "authorized_official_first_name": "KIRK",
        "authorized_official_middle_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "864-439-3322",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "SC",
            "license": "03598",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "ZA9592",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Family Dental Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lyman, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.